Learn to Return Testing: Athletics

Learn to Return Testing:Athletics

CONFIDENTIAL. NOT FOR CIRCULATION.

2CONFIDENTIAL: NOT FOR CIRCULATION 2

Agenda:

✓ Intro to Health Commons Project

✓ Testing 101

✓ Program & Timeline

✓ Implementation Steps

✓ Planning for Positive Results and Outbreaks

✓ Testing Team Roles

✓ Next Steps

3CONFIDENTIAL: NOT FOR CIRCULATION

Introduction to Health Commons Project

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100+ school

districts to date


COVID-19 Testing Strategies

Testing

Strategy

Description When to use this strategy?

Diagnostic Individual has symptoms or known exposure to

COVID-19. This includes testing of close

contacts.

To determine if symptomatic/exposed individual has

COVID-19, needs to quarantine, jumpstart contact

tracing and outbreak mitigation strategies.

Screening Testing of individuals in high-risk or congregate

settings. This includes testing individuals who do

NOT have symptoms or known exposure.

To catch asymptomatic cases, prevent outbreaks,

build trust and confidence.

Surveillance Population-wide testing that cannot be traced

back to an individual (e.g., wastewater testing).

To understand virus prevalence in community, guide

more targeted testing interventions.

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Given the high-contact nature of your sport, athletes are being asked to engage in

SCREENING testing in order to reduce chance of outbreaks from asymptomatic cases.


Types of COVID-19 Tests

PCR Test

• Gold standard for diagnosing COVID-19

• Oral, shallow nasal, or nasopharyngeal (brain tickler)

• Resulted at a lab

• 24-72 hour turn around time

Rapid Antigen Test

• Less sensitive

• Shallow nasal swab

• Resulted on site

• 15-minute turn around time

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Testing does not replace other mitigation strategies…

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Learn to Return: Athletics

• Health Commons, in partnership the DOH, are providing free rapid antigen testing to all athletic teams across the state where testing is required to compete

• This program provides training, guidance, and rapid antigen testing materials to the athletic community in order to help teams comply with new testing requirements

• Testing should take place twice weekly (one during the week, one just before match), spaced 3-4 days apart

• Rapid antigen test vendor is BinaxNOW

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Implementation Timeline

STEP DATE ACTIVITY

1 Day 1 Watch implementation kick-off video and download toolkit

2 Days 1-2 Apply for CLIA waiver

3 Days 1-2 Order BinaxNOW test kits

4 Days 2-3 Communicate testing plan and collect parent consent to student testing

5 Days 4-6 Identify test observers and watch BinaxNOW training videos

6 Days 7-9 Receive test kits and quality control

7 Day 10 Launch testing

8 Ongoing Reporting

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Implementation Steps

STEP DATE ACTIVITY

2 Days 1-2 Apply for CLIA waiver

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A CLIA waiver (Clinical Laboratory Improvement Amendment) is a certification that allows a facility to legally examine a person

through waived tests for the purpose of diagnosis, treatment, or prevention of disease.

To apply for a CLIA waiver:

1. Print, fill out, and sign the application

2. Email a copy of the application to DOH

3. Mail the original, ink signed hard copy with $190 fee to DOH

Some schools may already have a CLIA waiver!

You do not need to wait for your CLIA waiver to be formally approved or mailed to you before ordering test kits or start testing



STEP DATE ACTIVITY

3 Days 1-2 Order BinaxNOW test kits

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Order your BinaxNOW test kits as soon as possible – takes approximately 1 week to arrive from order date

Order the volume of tests needed for the entire season, assuming twice weekly testing (1 box = 40 tests)



STEP DATE ACTIVITY

4 Days 2-3 Communicate testing plan and collect parent consent to student testing

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Share the testing plan with your community – athletes, parents, coaches and trainers

Templates for announcement letter and parent consent form can be found in toolkit



STEP DATE ACTIVITY

5 Days 4-6 Identify test observers and watch BinaxNOW training videos

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Test observer can be any layperson 18+ with a high school degree (or equivalent)

If your team is large, consider having more than 1 trained test observer to make the screening process more efficient

All test observers should:

1. Watch training modules 1-4 on the Abbot Lab’s training website

2. Keep documentation of training completion



STEP DATE ACTIVITY

6 Days 7-9 Receive test kits and quality control

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You should receive your test kits approximately 1 week after ordering

BinaxNOW test kits include (1 box):

• 40 test cards (a cardboard, book-shaped hinged test card containing the

test strip)

• 1 extraction reagent bottle

• 40 patient nasal swabs (sterile swabs; one should be used as a negative

control in quality control test)

• 1 positive control swab (non-infectious recombinant SARS-CoV-2

nucleocapsid antigen dried onto a swab to be used for positive quality

control test)

Perform quality control using positive and negative control swabs included.

Training modules will cover quality control procedures.

Test kit storage and stability



STEP DATE ACTIVITY

7 Day 10 Launch testing

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Student screening should be:

• Twice weekly (with one test on the day of the contest)

• Spaced 3-4 days apart

Where to test

Supplies needed to test:

• Ensure consent is obtained from each participant (or parent for athletes under 18)

• PPE (gloves and surgical mask)

• Timer (avoid using personal cell phone to avoid contamination)

• Flat surface

• Pens / permanent marker

• Student Athlete COVID-19 Testing Reporting Sheet

• Hand sanitizer

• Disinfectant

• Biohazard bags



STEP DATE ACTIVITY

8 Ongoing Reporting

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Documentation of test results – template tracking sheet in toolkit

Cadence of contest reporting:

1. Day before contest: Verification of negative tests (and/or vaccination status) must be shared between both visiting and host

facilities

2. Day of contest: Verification of day-of negative tests (and/or vaccination status) must be shared between both visiting and

host facilities. All verifications will be confirmed by competition officials

If there is a positive test result, notify competition officials, the opposing team / facility, and your local health department


Plan for Positive Results and Outbreaks

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Negative

antigen testOK to

participate

Continue with

testing

Positive

antigen testCannot

participate

Send home.

Follow public

health guidance

SymptomsCannot

participate

Send home.

Follow up

with PCR

Close

contact

Cannot

participate

Send home.

Follow public

health guidance


Testing Team Roles

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Role Key Responsibilities

Coordinator • Identify team members / roles

• Applies for CLIA waiver

• Orders BinaxNOW test kits

• Communicates testing program to community

• Collects and tracks parent consent

• Ensures test observers participate in required training

• Identifies storage site for testing supplies

• Coordinates distribution of testing supplies to test observers

• Secures biohazard disposal

Test Observer(s) • Participates in BinaxNOW training protocols

• Gathers materials for twice weekly testing

• Administers tests and provides results to athletes

• Documents testing results

• Manages required reporting

• Disposes of used tests according to biohazard protocols

• Participates in outbreak management, if needed


Immediate Next Steps

• Download program toolkit from your online clinic (after this video):o Implementation Kick-Off Slide Deck

o Implementation Guide

o Implementation Timeline

o FAQ

o Parent Consent Template

o Sample Announcement

o Student Athlete COVID-19 Testing Reporting Sheet

o CLIA Waiver Application Template

• Review Implementation Timeline document in your toolkit - complete implementation steps 2-3 immediately

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Questions?

• Jess Harvey – program and COVID-19 testing questions• [email protected]

• 925-683-1565

• Justin Kesterson – wrestling questions• [email protected]

• 425-988-6155

• Joint Health Commons and WIAA office hours• Thursday April 22, 8:30AM & 3:30PM

• Friday April 23, 3:30PM

• Monday April 26, 8:00AM

• Tuesday April 27, 3:30PM

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Zoom meeting link

Passcode: 369557

mailto:[email protected]

mailto:[email protected]

https://zoom.us/j/91207369181?pwd=SW5jeXFsL2N6M215c09ZUFN3cDZoQT09&from=addon

Learn to Return Testing: Athletics

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